FORM 1023-EZ for JUNETEENTH AN AMERICAN CELEBRATIONINC

Field Data
EIN 33-1200476
Case Number EO-2014265-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUNETEENTH AN AMERICAN CELEBRATIONINC
Organization’s Mailing Address 1342 LEGENDARY BL
City CLERMONT
State FL
ZIP 34711
Accounting period End 12
Primary contact name LEWIS T JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN GIBSON
PRESIDENT
11001 WINDCHIME CIRCLE
CLERMONT FL 34711

Officer/Director/Trustee Two

BERTHA NEWBERN
VICE PRESIDENT
1349 LAUREL HILL DR
CLERMONT FL 34711

Officer/Director/Trustee Three

LEWIS JOHNSON
TREASURER
1342 LEGENDARY BLVD
CLERMONT FL 34711

Officer/Director/Trustee Four

VALERIE ANDERSON
SECRETARY
1251 LEGENDARY BLVD
CLERMONT FL 34711

Organization’s website WWW.JUNETEENTHAACI.ORG
Organization’s email JUNETEENTHAACI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2011
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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